Abstract-Our previous studies showed that decreased nitric oxide (NO) production enhanced carotid body (CB) chemoreceptor activity in chronic heart failure (CHF) rabbits. In the present study, we investigated the effects of neuronal NO synthase (nNOS) gene transfer on CB chemoreceptor activity in CHF rabbits. The nNOS protein expression and NO production were suppressed in CBs (PϽ0.05) of CHF rabbits, but were increased 3 days after application of an adenovirus expressing nNOS (Ad.nNOS) to the CB. As a control, nNOS and NO levels in CHF CBs were not affected by Ad.EGFP. Baseline single-fiber discharge during normoxia and the response to hypoxia were enhanced (PϽ0.05) from CB chemoreceptors in CHF versus sham rabbits. Ad.nNOS decreased the baseline discharge (4.5Ϯ0.3 versus 7.3Ϯ0.4 imp/s at 105Ϯ1.9 mm Hg) and the response to hypoxia (18.3Ϯ1.2 imp/s versus 35.6Ϯ1.1 at 40Ϯ2.1 mm Hg) from CB chemoreceptors in CHF rabbits (Ad.nNOS CB versus contralateral noninfected CB respectively, PϽ0.05). A specific nNOS inhibitor, S-Methyl-L-thiocitrulline (SMTC), fully inhibited the effect of Ad.nNOS on the enhanced CB activity in CHF rabbits. In addition, nNOS gene transfer to the CBs also significantly blunted the baseline renal sympathetic nerve activity (RSNA) and the response of RSNA to hypoxia in CHF rabbits (PϽ0.05). These results indicate that decreased endogenous nNOS activity in the CB plays an important role in the enhanced activity of the CB chemoreceptors and peripheral chemoreflex function in CHF rabbits. (Circ Res.
2005;97:260-267.)Key Words: nitric oxide Ⅲ gene transfer Ⅲ chemoreceptor Ⅲ hypoxia Ⅲ heart failure T he endogenous production of nitric oxide (NO) plays an important role in cardiovascular homeostasis through its action on the central and peripheral autonomic nervous systems. 1 Although NO plays a significant excitatory role in the nucleus tractus solitarii (NTS), 2-4 many studies have shown that NO produced within the carotid body (CB) is an inhibitory modulator of CB chemoreceptor activity. [5][6][7][8][9][10][11] For example, the administration of the precursor L-arginine, NO donor molecules, 5,6,9 or NO gas 8 to the cat CB perfused in vitro reduces the chemoreceptor response to hypoxia. Conversely, inhibition of nitric oxide synthase (NOS) increases the frequency of CB chemoreceptor discharge in situ and in vitro. 5,12,13 Profound activation of the sympathetic nervous system is characteristic of chronic heart failure (CHF). 14 -16 Peripheral chemoreceptor activation is an excitatory input that increases sympathetic outflow. 17 Peripheral chemoreceptor sensitivity is enhanced in both clinical and experimental CHF 18 -20 and contributes to the tonic elevation in sympathetic function. Our recent studies have shown that a decreased NO production is involved in the enhanced CB chemoreceptor activity in CHF. 13 We found that NOS inhibition enhanced the sensitivity of the CB chemoreceptors 13 and decreased the CB glomus cell outward potassium currents (I K ) 21 in sham rabbits but was without effect in ...